| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $158.49 | $346.74 | |
Cigna
| Professional | $309.03 | $309.03 | $389.05 | |
Hally Health
| Professional | $117.49 | $173.78 | $363.08 | |
Medica
| Professional | $190.55 | $269.15 | $407.38 | |
Midlands
| Professional | $338.84 | $338.84 | $346.74 | |
United
| Professional | $165.96 | $234.42 | $398.11 |